RANDALL JAY SAMPSON
NPI 1295366029
Contractor in Forest Lake, MN

NPI Status: Active since January 30, 2020

Contact Information

24668 HAMLET AVE
FOREST LAKE, MN
ZIP 55025
Phone: (612) 290-9056
Fax: (651) 464-5671

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  • Individual
  • Male
  • Contractor

About RANDALL SAMPSON

This page provides the complete NPI Profile along with additional information for Randall Sampson, a provider established in Forest Lake, Minnesota with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1295366029 assigned on January 2020. The practitioner's primary taxonomy code is 171W00000X with license number BC743839 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1295366029
Provider Name
RANDALL JAY SAMPSON
Gender
Male
Entity Type
Individual
Location Address
24668 HAMLET AVE FOREST LAKE, MN 55025
Location Phone
(612) 290-9056
Location Fax
(651) 464-5671
Mailing Address
24668 HAMLET AVE FOREST LAKE, MN 55025
Mailing Phone
(612) 290-9056
Mailing Fax
(651) 464-5671
Is Sole Proprietor?
Yes
Enumeration Date
01-30-2020
Last Update Date
01-30-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
License No.
BC743839
License State
MN
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295366029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185661204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 6 + 6 + 1 + 2 + 0 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1295366029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SAMPSON CONSTRUCTION

Contractor

(Home Modifications)

24668 HAMLET AVE
FOREST LAKE, MN
ZIP 55025

(612) 290-9056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295366029, enumerated as an "individual" on January 30, 2020.

The provider is located at 24668 HAMLET AVE FOREST LAKE, MN 55025 and the phone number is (612) 290-9056.

Contractor with taxonomy code 171W00000X.